Court Grants Class-Action Status To West Virginia Lawsuit On Medicaid I/DD Budgets

On October 7, 2016, a federal district court in West Virginia granted class-action status to a lawsuit protesting how the state Medicaid program calculates consumer service budgets for the Intellectual/Developmental Disability (I/DD) Waiver program. Specifically, the plaintiffs are protesting the algorithm-based method used by APS Healthcare, Inc. (APS), which manages the waiver, to determine the amount of funding for home- and community-based services (HCBS) for each consumer. The plaintiffs allege that the APS algorithm fails to give appropriate weight to recipient need and the amount of waiver benefits actually authorized in prior years. A settlement . . .